Health care systems within organization

Documentation is the primary method to demonstrate value within an organized health care system. More importantly, it is the accepted method by which health care providers communicate with one another with respect to patient care decision making and clinical outcomes. Thus, if pharmacists in all practice settings are not communicating data/information routinely with other providers, they may not be considered an essential and integral part of the health care team. 

Community service organizations can play a direct role in providing specific health indicator data that would contribute to a syndromic surveillance system. Worksite absenteeism or patterns of health care behavior among clients are examples of potential indicators, but issues related to the confidentiality of such information under HIPAA have yet to be fully addressed. Even if no formal surveillance partnership to provide data exists, community service organizations should still consider themselves as stakeholders in the overall community response plans for biological events. They should also publicize the emergency public health contact information within their organizations. Table 20.3 lists several specific actions that community service... 

The development of a formulary system within an organization rests with a multidisciplinary committee. In the hospital and health system setting, this is typically called the P T committee. Virtually all hospitals and health-systems have a P T committee.P T committees usually meet six to eight times annually. An ASHP Position Statement on formulary management declares that decisions should be based on clinical, quality of life, and pharmacoeconomic factors that result in optimal patient care. - It advises against decisions solely based on economic factors. The Position Statement also recommends that decisions must include active and direct involvement of physicians, pharmacists, and other appropriate health care providers. This may include dieticians, nurses, administrators and quality management coordinators. 

Reliable iirformation on the incidence of LTMV in the United States is difficult to obtain because of the disjointed organization of the reimbursement and delivery systems. The number of patients receiving LTMV within health care institutions has not been reported. Several past... 

Health administration organizations (e.g., managed care organizations) would like to have medical information available for questions about eligibility for treatment. Delivery networks (e.g., hospitals) would like it to be available to the services within the system (clinical, administrative, and financial). Individual healthcare providers would like the record to be available as the... 

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